Homestead_Tepe (9) H. PREPARER
Preparer of the Sales Disclosure Form Title
Christine Sullivan Loan Processor
Company
Address(number and street,city,state,country,and ZIP Code)
910 W Main St, Boonville IN 47601
I. SELLERS)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Daniel R Buck Catherine M Buck
Address(number and street) Address(number and street)
11406 E 1050 S 11406 E 1050 S
City,state,and ZIP Code City,state,and ZIP Code
Lynnville IN 47619 Lynnville IN 47619
Country Country
USA USA
E-mail address Telephone number E-mail address Telephone number
( ) ( )
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as
required by I- ,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred
real pro•-" •r omits or fal 'ies any information required to be provided,commits a Level 5 felony.
�... •/� eller Sig 7c./ SellerM4.
Printed Name L. Date signed(mm/dd/yyyy) Printed Name of Seller / Date signed(mm/dd/yyyy)
Daniel R Buck 04/8/2022 Catherine M Buck 04/8/2022
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears on cone rtientt T
Kirsten Tepe 1 ■l _J _J 1 J
Address(number and street) Address(number and street)
9257 S 1325 E APR 2 0 2022
City,state,and ZIP Code City,state,and ZIP Code
Oakland City IN 47660 t�
Country Country / LL C-'G "/./gi' 7�
USA GIBBON COUNTY
E-mail address
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
0 O 1.Will this property be the buyer's primary 91 O 3. Homestead
residence? O O 4. Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 0 5.Wind Power Device
O O for this residence?If yes, provide address: O 0 6. Hydroelectric Power Device
Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Device
City,state,and ZIP Code County